Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 15189 | Date 04/04/2025 |
| Token No | SM/25-26/789 25/04/2025 | Serial | 052 Last Visit: 25/04/2025 |
| Patient Name | Miss KOUSHANI SIL | Contact No | 9593469878 |
| Address | CAHTA MAITRI PARISHAD | Age | 7 Years,6 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 34.6 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||